Informed Consent

Consent has been a hot topic on college campuses and in dating apps.  But there is less discussion about consent when it comes to medical procedures and examinations.  Of course, you sign all the forms when you see a new doctor or are scheduled for a procedure.  Consent is not just about signing medical forms.  Consent is understanding what the provider is examining, why they are doing the examination, and agreeing to this, to continue with the examination. 

When it comes to pelvic floor physical therapy, it is often indicated to do a physical assessment of the pelvic floor muscles with a vaginal or rectal exam.  We take consent for these assessments very seriously.  Before an examination, the therapist does a thorough history to understand the medical concerns the patient is coming in for.  From there, the therapist discusses why the exam could be beneficial for the medical concern that the patient is coming in for.  This includes education on the anatomy of the pelvic floor and its function, the step-by-step process of the examination and what to expect and give the patient a safe space to express concerns or ask questions.   

Before the examination and throughout the assessment, the patient is asked if they are comfortable proceeding with it.  We also tell the patient that they can ask to stop the examination at any time.  If the patient asks us to stop, we stop the exam immediately.   

It is important as a patient to know that you have the right to stop an examination at any time with any provider.  If you feel that something is not right, trust your gut.    If you do not understand why a provider is doing something or what is going on, please ask.  Understanding is part of consent.